Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 04565 | Date 22/07/2023 |
| Token No | SM/22-23/10812 22/07/2023 | Serial | 024 |
| Patient Name | Miss JAYA OJHA | Contact No | 9262660309 |
| Address | 97K/1 PRABASHNAGAR SERAMPORE 712249 | Age | 14 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||